MADISON T KU Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026959

License Status

ACTIVE

Business

First Name

MADISON

Middle

Last Name

Business Name

MADISON T KU

Original Issue Date

09/27/2022

Effective Date

09/16/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/16/2024